| NPI | 1497642334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 132415) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE CP044732T) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |